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Effects of hospice-shared care on terminal cancer patients in Taiwan: A hospital-based observational study
European Journal of Oncology Nursing ( IF 2.8 ) Pub Date : 2024-02-05 , DOI: 10.1016/j.ejon.2024.102525 Hui-Wen Huang , Chun-Yu Liu , Tao-Hsin Tung , Li-Ni Liu
European Journal of Oncology Nursing ( IF 2.8 ) Pub Date : 2024-02-05 , DOI: 10.1016/j.ejon.2024.102525 Hui-Wen Huang , Chun-Yu Liu , Tao-Hsin Tung , Li-Ni Liu
To assess how hospice-shared care (HSC) affected the likelihood of aggressive medical treatments and the life quality among terminal cancer patients. In the first part, a cohort of 160 late-stage cancer patients who died in non-hospice wards were identified to review their charts in their last 22 days before death. In the second part, a total of 19 late-stage cancer patients with clear consciousness admitted to non-hospice wards were identified to investigate their quality of life for the final 2 weeks before death. The utilization rate of HSC was 55.6%. Among these, the rate for late referral to HSC (≤7 days before death) was 43.8% and early referral (>3 months before death) was 5.6%. Compared to the non-HSC group, in the last few weeks of life, the HSC group underwent lower incidence of chemotherapy use (10.1% vs. 39.4%, p < .001), signed do-not-resuscitate orders (0% vs. 21.1%, p < .001), emergency room visits (13.5% vs. 40.8%, p < .001), intensive care unit admission or ventilator use (2.2% vs. 11.3%, p = .019), and endotracheal intubation (2.2% vs. 9.9%, p = .038). However, the quality of life did not appear to have obvious differences between the two groups (p > .05). In Taiwan, late HSC referral in terminal cancer patients is common. HSC is associated with a reduced likelihood of aggressive medical utilization. However, the effect of HSC in improving patients’ quality of life in the last few weeks needs to be further evaluated.
更新日期：2024-02-05
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